Organization
BERTHA A GONZALEZ DO, INC
Active
Parent organization
N/A
Other names
N/A
Organization subpart
Yes
Provider details
NPI number
Legal business name
N/A
Authorized official
DR. BERTHA A GONZALEZ DO (PRESIDENT)
(323) 728-1274
Entity
Organization
Contact information
Practice address
3106 W BEVERLY BLVD, MONTEBELLO, CA 90640-2217
(323) 728-1274
(323) 720-9954
Mailing address
3106 W BEVERLY BLVD, MONTEBELLO, CA 90640-2217
(323) 728-1274
(323) 720-9954
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
20A6849
CA
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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